NPIMap

Organization Active NPI

Dallas County Mental Health & Mental Retardation Center

Doing business as Westmoreland Adult Oc Dcmhmr

  • Clinic Pharmacy
  • Dallas, TX
National Provider Identifier
1104910413
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
969 Issued in TX
Legal business name
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Doing business as
Westmoreland Adult Oc Dcmhmr
Practice address
3230 Remond Dr
Suite 162
Dallas, TX 75211-1654
Phone
(214) 330-0036
Fax
(214) 333-2762
NPI assigned
Oct 3, 2006
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Min Seo Cheon Kim
Title
Chief Pharmacy Officer
Phone
(214) 743-6180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 969 TX Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3230 Remond Dr
Suite 162
Dallas, TX 75211-1654

Mailing address

3242 Remond Dr
Dallas, TX 75211-1654
Phone (214) 330-0036

Other identifiers 2

IdentifierTypeStateIssuer
2095119OtherPK
350135MedicaidTX

Other names 1

  • WESTMORELAND ADULT OC DCMHMR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303001130 TX Part B Supplier - Pharmacy 2062308091 2 other NPIs on this enrollment
Practice locations: Dallas, TX; Round Rock, TX; Grand Prairie, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dallas County MHMR32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

3230 Remond Dr
Ste 162
Dallas, TX 75211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1104910413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111654",
            "telephone_number": "214-330-0036",
            "fax_number": "214-333-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 REMOND DR",
            "address_2": "SUITE 162",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111654",
            "telephone_number": "214-330-0036",
            "fax_number": "214-333-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "CHEON KIM",
        "authorized_official_first_name": "MIN SEO",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "214-743-6180"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "969",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTMORELAND ADULT OC DCMHMR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.